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Study documentation meaverin 0.4% infiltration in Patients with Lipedema

Prospective open registry of treatment results

This completely anonymous registry is based on your mail-address and numbers (1, 2, 3) etc. you give your treated patients to avoid any possibility to find a correlation to real persons. With your participation you help us to find out, if this approach is effective or not.
Please provide the data 1 week after treatment, the system would send a mail after 3 months and 1 year to ask you to provides us with the current pain level of your patient, if available.
Thank you so much, Erika Mendoza
1.Please provide us with your mail address to allow a follow-up question(Erforderlich.)
2.Number of the patient (please start with 1, then 2, etc. for every further patient you include)(Erforderlich.)
3.Age of the patient(Erforderlich.)
4.BMI of the patient(Erforderlich.)
5.The patient has a lipedema at (more than 1 possible)(Erforderlich.)
6.The patient wears compression regularly?
7.Main pain score before the treatment (0-10) at the right arm (if applicable)
8.Main pain score before the treatment (0-10) at the left arm (if applicable)
9.Main pain score before the treatment (0-10) at the right leg (if applicable)
10.Main pain score before the treatment (0-10) at the left leg (if applicable)
11.Which local anesthesia did you use?(Erforderlich.)
12.How many ml did you apply to the right arm?
13.How many ml did you apply to the left arm?
14.How many ml did you apply to the right leg?
15.How many ml did you apply to the left leg?
16.Main pain score 1 week after the treatment (0-10) at the right arm (if applicable)
17.Main pain score 1 week after the treatment (0-10) at the left arm (if applicable)
18.Main pain score 1 week after the treatment (0-10) at the right leg (if applicable)
19.Main pain score 1 week after the treatment (0-10) at the left leg (if applicable)
20.Do you allow us to send you follow-up Question about the pain score of this patient?(Erforderlich.)